-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathform.html
93 lines (77 loc) · 3.65 KB
/
form.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<!----======== CSS ======== -->
<link rel="stylesheet" href="CSS/form.css">
<!----===== Iconscout CSS ===== -->
<link rel="stylesheet" href="https://unicons.iconscout.com/release/v4.0.0/css/line.css">
<title>Regisration Form </title>
</head>
<body>
<div class="container">
<header>Registration</header>
<form action="#">
<div class="form first">
<div class="details personal">
<span class="title">Personal Details</span>
<div class="fields">
<div class="input-field">
<label>Full Name</label>
<input type="text" placeholder="Enter your name" required>
</div>
<div class="input-field">
<label>Email</label>
<input type="text" placeholder="Enter your email" required>
</div>
<div class="input-field">
<label>Mobile Number</label>
<input type="number" placeholder="Enter mobile number" required>
</div>
<div class="input-field">
<label>Address</label>
<input type="text" placeholder="Enter your Address" required>
</div>
</div>
</div>
<div class="details ID">
<span class="title">Booking Details</span>
<div class="fields">
<div class="input-field">
<label>ID Type</label>
<select required>
<option disabled selected>Select ID</option>
<option>Aadhar</option>
<option>Driving License</option>
<option>Ration Card</option>
<option>Voter ID</option>
</select>
</div>
<div class="input-field">
<label>ID Number</label>
<input type="number" placeholder="Enter ID number" required>
</div>
<div class="input-field">
<label>Plan</label>
<select required>
<option disabled selected>Select Plan</option>
<option>Home</option>
<option>Farm</option>
<option>Industrial</option>
</select>
</div>
<div class="input-field">
<label>Select Date and Time</label>
<input type="datetime-local" placeholder="Select Alternative D&T" required>
</div>
<button class="nextBtn">
<span class="btnText">Submit</span>
<i class="uil uil-navigator"></i>
</button>
</div>
</div>
<script src="JS/form.js"></script>
</body>
</html>